Aerodynamic measurement-Maximum Phonation Time in young patients with benign vocal fold lesions and with normal voice: a comparative analysis

Background: Clinicians use Maximum Phonatory Time (MPT) as one of tool to verify the glottic efficiency objectively. Impairment of vocal fold mucosa integrity due to lesions results in alteration in MPT. The aim of current study was to compare MPT in young adults with vocal fold lesions and age and sex matched normal subjects.Methods: This study was conducted in the Department of ENT & Head and Neck surgery of Government Medical College Srinagar on 41 adult patients with benign vocal fold lesions and 41 healthy subjects matched for age and sex for a period of 2 years from April 2017- April 2019. The aerodynamic measure was measured as maximum phonation time in seconds and the results were analysed statistically. Both patients and controls were explained the procedure. Results: Mean MPT in seconds in males with vocal fold lesion was 14.42 seconds with SD of 5.62 seconds and in females was 10.81 seconds with SD of 3.44 seconds. Coefficients of variation (CV) was 0.35 and 0.21 respectively. In control group it was 18.15 seconds with SD of 5.88 in males and in females it was 15.72 seconds with a SD of 6.21. Mean difference between patients and controls in males and females was 3.8 and 4.9 respectively. P-Value in males and females was 0.053 and 0.003 respectively.Conclusion: Vocal cord lesions decrease MPT in both sexes even in young adults

Medical Image Large Hemangiopericytoma of the Tongue

These pictures are of a 45 -year old male patient with a swelling on the tip of tongue from the last one year. The swelling increased progressively in the last one year with a recent onset of mild discomfort. He has never shown to any physician before and once swelling reached to a large size he reported to us. MRI revealed a solid mass with isodense contrast in T1

Medical Image Large Hemangiopericytoma of the Tongue

These pictures are of a 45 -year old male patient with a swelling on the tip of tongue from the last one year. The swelling increased progressively in the last one year with a recent onset of mild discomfort. He has never shown to any physician before and once swelling reached to a large size he reported to us. MRI revealed a solid mass with isodense contrast in T1.</p

Lincoln ’S Highway - A Forgotten Abscess

Introduction: Carotid space is a deep neck space within the carotid sheath. .Mosher called carotid sheath as the Lincoln Highway of the neck. Abscess in this space is rare to be seen by young Ear, Nose and Throat (ENT) surgeons in this era of early diagnosis and good antibiotics. We are reporting a case of isolated carotid space abscess in a 20 year old male to familiarize young surgeons with this abscess. Case report: A 20 year old young boy came to our Outpatient Department (OPD) with complaints of fever, painful neck swelling, progressive difficulty in swallowing from the last 7 days. Contrast Enhanced Computed Tomography (CECT) was done which revealed abscess located adjacent to carotid artery in the carotid sheath. Incision and drainage was done and carotid sheath was opened and pus drained .Patient was discharged after few days on oral antibiotics. Conclusion: Carotid space abscesses are rarely seen in developed countries. Tender and fluctuating swelling over the carotid artery area points towards it. CECT is the investigation of choice. Needle aspiration should be avoided especially by less trained persons. Small abscesses may respond to intravenous antibiotics but when frank and large abscess is formed, incision and drainage is the treatment of choice

ENT EMERGENCIES-AN EXPERIENCE

*Author for Correspondence Ear, Nose and Throat (ENT) emergencies are common in all communities. Early diagnosis and prompt management will result in reduction in morbidity and mortality. Methods &amp; Results: This study was conducted on 400 patients in SMHS hospital Srinagar. Male: Female ratio equal to 1.28:1. The commonest emergency was foreign bodies in 286 patients (71.5%), trauma 40 patients (10%). Procedures which were done include removal of foreign bodies in 286 patients (71.5%), fracture reduction in 17 (4.2%) patients, repair of injury in 40(10%) patients, packing &amp; cauterisation in 16 (4%) patients, incision &amp; drainage in 24(6%) patients, tracheostomy in 6 (1.5%) patients &amp; suction clearance in 2 (0.5%) patients. Post Graduates handled most of emergency, 270 cases (67.5%) &amp; Registrar and Consultants handled 110 cases (27.5%) &amp; 20 cases (5%) respectively. Conclusion: The commonest cause of ENT emergency managed in operation theatre includes foreign bodies, trauma, Abscess and epistaxis. Residents in the department should be well versed with these emergencies

Lincoln ’S Highway - A Forgotten Abscess.

ABSTRACT Introduction: Carotid space is a deep neck space within the carotid sheath. .Mosher called carotid sheath as the Lincoln Highway of the neck. Abscess in this space is rare to be seen by young Ear, Nose and Throat (ENT) surgeons in this era of early diagnosis and good antibiotics. We are reporting a case of isolated carotid space abscess in a 20 year old male to familiarize young surgeons with this abscess. Case report: A 20 year old young boy came to our Outpatient Department (OPD) with complaints of fever, painful neck swelling, progressive diffi culty in swallowing from the last 7 days. Contrast Enhanced Computed Tomography (CECT) was done which revealed abscess located adjacent to carotid artery in the carotid sheath. Incision and drainage was done and carotid sheath was opened and pus drained .Patient was discharged after few days on oral antibiotics. Conclusion: Carotid space abscesses are rarely seen in developed countries. Tender and fl uctuating swelling over the carotid artery area points towards it. CECT is the investigation of choice. Needle aspiration should be avoided especially by less trained persons. Small abscesses may respond to intravenous antibiotics but when frank and large abscess is formed, incision and drainage is the treatment of choice

Vertigo: A Precursor Of Stroke: Role Of An Otolaryngologist.

ABSTRACT: Vertigo is usually of benign nature but can be a precursor of a very fatal outcome. Many patients with multiple vascular risk factors and seemingly benign isolated episodes of vertigo have occasionally been seen to develop an ischaemic event (stroke) by various researchers.As the bulk of vertigo patients (nearly 80%)are treated by otolaryngologists,some of these patients with constitutive risk factors could be at actual risk of stroke, so early identification of such patients becomes necessary. This is a retrospective study of 92 stroke patients admitted in SHMS hospital, Srinagar(2009-2011) who were reviewed and enquired for any history of true vertigo episodes prior to or at onset of stroke.Study included 64 male patients and 28 female patients with about 65%of the patients falling in the age group of 51-70 years. History of transient ischaemic attacks were reported in 9 patients while vertigo(single and multiple episodes) was seen in 24 patients prior to stroke in this study Vertigo should be regarded a precursor of stroke in patients with multiple vascular risk factors and they should be evaluated for veretebrobasilar insufficiency by MRI/MRA at an earliest so that preventive measures can be adopted in time. Vertigo is the illusion of movement of the body or the environment 1. Although commonly classified into peripheral and central vertigo,there are diseases with possible central and peripheral involment (infectious,auto immune,vascula